title: Thoracoscopic pericardial fenestration for effective long-term management of non-tuberculous mycobacterium pericarditis.
abstract: The long-term consequences of non-tuberculous mycobacterium pericarditis with pericardial effusion after fenestration have not been described. We encountered a case of non-tuberculous mycobacterium pericarditis in a 59-year-old woman with an underlying collagenosis. Repeated drainage was required because of rapid reaccumulation of the effusion. To definitively control the effusion, pericardial fenestration was performed by video-assisted thoracoscopic surgery. Chest radiography performed 6 years postoperatively showed no accumulation of pericardial or pleural fluid. The patient required careful follow-up and, to date, the pulmonary non-tuberculous mycobacterium (NTM) infection has been successfully suppressed by continuous antibiotic therapy. Pericardial fenestration with antibiotic therapy was an appropriate treatment for recurrent effusion in this case of NTM pericarditis.
authors.affiliation: Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health Bioscience, University of Tokushima Graduate School, Kuramoto-cho 3-18-15, Tokushima, 770-8503, Japan.
authors.forename: Mitsuteru
authors.initials: M
authors.lastname: Yoshida
authors.forename: Shoji
authors.initials: S
authors.lastname: Sakiyama
authors.forename: Kazuya
authors.initials: K
authors.lastname: Kondo
authors.forename: Akira
authors.initials: A
authors.lastname: Tangoku
mesh_terms: D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000601:surgery*; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery*; D010492:Pericardiectomy / Q000379:methods*; D010493:Pericarditis / Q000150:complications / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*